Provider Demographics
NPI:1518406057
Name:BROWN DENTAL CORPORATION
Entity Type:Organization
Organization Name:BROWN DENTAL CORPORATION
Other - Org Name:ADVANCED ORAL DIAGNOSIS & TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:A
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:RDA
Authorized Official - Phone:925-837-8048
Mailing Address - Street 1:400 EL CERRO BOULEVARD
Mailing Address - Street 2:SUITE #105
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-1727
Mailing Address - Country:US
Mailing Address - Phone:925-837-8048
Mailing Address - Fax:925-837-8049
Practice Address - Street 1:400 EL CERRO BLVD STE 105
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-1731
Practice Address - Country:US
Practice Address - Phone:925-837-8048
Practice Address - Fax:925-837-8049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1518406057OtherNPI BROWN DENTAL CORP
CA1083753107OtherNPI FOR DR. ROBERT J. BROWN
CA17881OtherDDS CA DENTAL BOARD
CA1821298373OtherNPI ADVANCED ORAL DIAGNOSIS & TREATMENT CENTER